HomeMy WebLinkAboutBuilding 06-0579, Demo 06-0490
QI~rfifitaf~ nf (Jl}ttUpautlJ
CITY OF PRIOR LAKE
~tparfmtnf nf ~uilbing Jf nsptrfinn
~ Final Permitted
D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification SI }.}6jL-6 ,r: H /-; / '-,V Bldg. Permit No. 0 (~ . 0 5 79
Occupancy Type
;:!:J
Type Construction
VI\!
Zoning District
J<' I::::; LJ
Legal Description
L '7 CI'I/KLl-ilVN SHc,ICE':::
I r'
Owner of Building
Site Address
54- 50 F /11 K LA tVIV ,f; II 01<' 6::-
TIc'fi I L ~ E:
,P. '-.
I
I
I
I
i
,
I
I
I
I
~
Contractor's Name & Address /c'Dlf ~~i::'. /v~:'/7 1.)ULDTl-I .AVE
lJ/-" '
!~()/.j[k7 U flv./CN/I):"- t ".)" City Planner J/"I/v'6
11 f. Building Official
=t.... ( r; {jl Date:
jC/l N~I E-K
Date:
5" 0 0 (") 000000 "U ~ > -0
z_
II> 0 ~ C ~~
~ 0 en."z"''''''' 0 C
~ 0 n 0 0 3: ::jzen~OO z m ;u mo
> 0 ;U ;U 3: !!!>C:3:iS m ;u m 0."
:'1 ::u '" en
I"" m m zl"">zcz z en ::!"
I"" en !=>
~ 0 > z ~ ::!c;)~c;) O;u
t -t z-
> -t -f m 0 - zo
~ .... iii en o z 0
cD 0 o::U
S -t ." -t Z
0lI > 0 ::IS:
~ (II 0 0
0 Z -t Z 0",
." > 0 mm
~ 0 Z ::u ~
;U C .-<
~ -t ." 'tl 'tl
.. ~ 0 ::u ::u
~ m ::u 0 0 000000 ~
Z ::u 0 0
~ m m m m 3:'tlen;:l:3:'tl
>< Z m m mr~)imr
-t C C 0C: -t0C:
>:, en
~ ~ Z ~ 'tl J:3: mJ:3: " 0 en
en m .,,2:!::U::U::u2:! m 0 ~ 0
Q ~ 'tl :J 0 ZZJ:J:-Z ::u Z ~
::! m CD -t >c;)00 c;) i: -f m
:::t
~ 0 () 0 r."oo ::u ::j ~ C
-f 0 Z zee - c:
0 ~ z ~ r
~ tIl ~'tl'tl !=> m
Z m C
~ ."
N 0
....
~ ~ ::u
m
~ 0 0 ~
c: 0 \\'\
::u < 000000 .~
en m .
:i! Z ::u c;).".,,0~ V, ~ ~
> z >;ii;iio ~
Ro c;) ~mm3:c;) ""J 0- rn
C ~.
~ ~ _"tI'tl'tl~ "
~ ~>>>c
z >oOZ=i;
3 0 _mm-t_
!TI ::U",;u r ~ ~
-t-- r i
enZ Z rn
-t~ c;)
:;- 0 ~ (") oloooo " 0 ,. -0
z_
II> 0 X ~ C ~~
~ 0 UI -."."." 0 C
CD 0 o ~ 3: ::jZ~~OO
g n ;U 0 Z m ;:u mO
~ ;U ::u ~ 3: !!!>e:i:iS m ;u m 0."
::u z""S:-c- Z en ::I"
t"I m m en m en
>:, 0 o > Z en -t~>~ !=> O;:u
-t -t -t 'tl - -t z-
t"I ~ ("\ -f m 0 - zO
~ > - o Z 0
S o en \. en -t Z ~ 0::U
-t ." "")
;U - > 0 ::!s:
~ r- o 0 ".. Z 0"
Z -t ~
0 > 0 mm
~ > Z ~ Uj
,...
~ ,... c . ,
." "tI "tI
.. 0 ;U ;U
~ ::u 0 0 000000
::u 0 0 ~
m m
~ m m m 3:'tlUl::E3:'tl
Z m,...~>ml""
c c Oe: -toe:
~ en xi: mJ:i: 0
~ ~ 'tl " en
m .,,2:!;u;u;u2:! m 0 0
~ :J 0 ZZJ:J:-Z ;:u Z X
::! ~ ~ -t >c;)00 c;) i: -f m
~ 0 is ,....,,00 ;U ::j ~ c
0 Z -,,'" - Z e:
~ Ze:c: ,...
a tIl ~'tl"tl !=> m
m c
~ ."
0
~ ;u
m
~ 0
0 '-1'
< oooo~
m I
:i! ::u QU , <.;, ~
Z >--0 ~
Ro c;) en~~3: ~ rn
~ C"tl"tl"tl ~
z>>>
~ moo-
3 ~mm~ ~
;U"';U ,...
-t-- i
enZ z rn
-t~ c;)
5" '0 (") 000000 "U 0 ,. -0
z_
II> 0 X ~ C ~~
"0 o ::E en."z"''''''' 0 c
ell s: z
8 0 n o 0 ::jzen~OO z m ;:u mo
> 0 ;U ;u 3: ~>C:3:~~ m ;u m 0."
~ :'1 ::u '" zr->zcz .z CIl ::I"
t"I m en m 9 en
>:, o > Z ~ ::!c;)~G) O;:u
-t -t z-
t"I -f m 0 - zO
~ > - o z 0
o en en O;u
S -t ." -t Z
- > is ~ ::!s:
~ o 0
Z -t Z 0"
> 0 mm
~ z ~
c . ~
~ -f 'tl "tl
.. X ::u
~ m 0 mOOD
z ::u 0
~ m m m 3:'tl 3:'tl
>< z m mr- ~mr-
-t 0 0C: -t0C:
>:, UI
~ ~ z ~ 'tl J:3: mJ:3: "tl 0 en
en m .,,2:!::U::U::u2:! m 0 0
~ ~ "U :J 0 zZJ:J:-z ;:u Z X
::! m CD -t >G)OO G) ;:: -f m
:::!. is
~ 0 () I"":!!~~ ;:!! ::j ~ C
-f 0 Z Z c:
0 ~ zc:c: r-
~ tIl ~'tl'tl !=> m
z m C
~ ."
N 0
...
~ x ;u
m
~ 0 0
c: f
::u 0 ~
en < 000000
m r~
:i! z ::u c;)."."o~ 0
Z >-
> >;ii;iiO ~
Ro G) ~mm3CG) ~ rn
C
~ < _"tl"tl'tl~
> ~>>>c ~. p
~ z >ooz=i;
~ 0 _mm-t-
!TI ::u.,,::u r- ~
-t-- r- i
enz z rn
-t~ G)
5" 0'0 o~ooo -a 0 > -0
II> J: ~ C z_
"0 0 0 ~ en"'-"''''''' 0 c ~~
g CD 0 0 ::jzen~OO z z ;:u
0 n ::l:I ::u ::u !!!>C:3:i~ m m m me
> 0 ::u ::u ::u 0."
r- :'1 '" zr-s:-c- Z en ::!-a
t"I m m en
r- 0 0 en en -t~>~ 9 O::u
>a t -t -t >
t!:l "tl - -t z-
~ > -t m 0 - zO
~ .... iii o z 0
cD 0 -t Z e::l:l
S -t ."
0lI ::u > is ::!s:
~ (II " is 0 ~
0 . Z -t Z 0"
"Tl 0 > 0 mm
~ 0 Z ~
;u c ~
~ -f ." 'tl 'tl
.. X 0 ::u ::u
~ m ::u 0 0 000000
z ::u 0 0
m m m 3:"tlen~3:'tl
~ >< m m m
Z mr-~>mr-
-t c C OC -toe:
Z ~ en J:3: mJ:3: -
,. ~ "tl "tl 0 "'\! en
~ en m .,,2:!::U::U::u2:! m 0 r 0
Q ~ "tl :J 0 zZJ:J:-z ;:u Z X
::! m C1l -t >G)OO c;) i: -f m
0 ~ is 1"".,,00 ::u ::j ~ c
i ()
-f 0 Z -"'''' - Z c:
0 ~ tIl Ze:e: r-
~'tl'tl 9 m
z m r c
."
~ N 0
....
~ ::u
m
~ 0 0
c: 0 ()'\,
::u < 000000 c..,
en m
:i! z ::u G)"'''' om ~ '" c
Z )00
> >:ii:ii0~ J ~
Ro c;) ~mm3:c;) ~ rn
C
~ < _"tl"tl"tl~
> ~s:s:s:c
~ Z >ooz=i;
""! 0 _mm-t-
~ !TI ::u.,,::u r- ~
-t-- r- i
enz z rn
-t~ G)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
JQOb
.8 3 F-Ok
I PERMIT NO. oro, os 79 I
~
ZONING (office use)
(Please
ADDRESS
5'-1r;-~
h.~' T14' Sl.
P i\.~
I4J
e/5LJ
p ,P/1 ..eI
LEGAL DESCRIPTION (office use only)
t),If. "10' OF L.:>.'t
LOT BLOCK ADDITION
PID Z~ 03/. 003.
OWNER I
(Name) r;;c......"'1 }c- t\ wo-flJh Q...-
(Address) S'f S D re;....;" 1c:..u...V\
LG:..J""~ (, J I.c. +SOIV
(Phone)
liS;)" -/.PI D - ;;. 5 '( g
BUILDER
(Company Name) R()lJ..
(Contact Name) 'Q ~
(Address) /bf'/7 D
-I Sf
D "
J ~'o,t..
'-'-
t"/;V S r- 7;)
13v; I J~ (Phone) 15 -,.-lItfl-D9 5S
(Phone) f';;l- L{Lf7-Cf;S5
p (L. -:0 t'4 L.. ('-<.. 1'11')
TYPE OF WORK IifNew Construction JQDeck ~orch nRe-Roofing ORe-Siding
tjAddition OAlteration ouWity Connection ~ ~
CODE: OOI.R.C. DI.B.C. 0 Mise
Type of Co~stnlction: I II III IV V A B PROJECT COST IV ALUE
Occupancy Group: A B E F HIM R S U (excluding land)
Division: I 2 3 4 5
~~~ Level finish
'firePlace Z
$ b 72) ?75
x
mshed InformatIOn on this application which is to the best of my knowledgc true and correct. I also cerlify that I am the owner or authonzed agent ItJr the
that all cons uction Will conform to all eXlsling state and local laws and will proceed in accordance with submitted plans I am aware that the buildIng
for J t cause urthermore, I hereby agree that the City official or a designce may enter upon the property to perform needed InSpeCliOns
5/J./OS.
f f Date
'?'bl t. ?-- ') 0 J-
Contractor's License No.
Gas Fireplace Permit Fee
100, DO
100. DO
3 S. 5:0
l{D. DO
Water Tower Fee
Builder's Deposit
Other
#
#
Permit Fee
Park Support Fee
SAC
Plan Check Fee
Water Meter
State Surcharge
Pressure Reducer
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
\T
150&, DO
Sewer & Water Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
Building OfIlcial
t}'1~~
Date
Paid
Date
.teJU~ 95.04-
I
!~ 1];_0 :;- I ~;ceiEI NO~1'7 "0 '
ThiS IS to certify that the request 10 the above applicatIon and accompanY1Og documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner constItutes a temporary Certificate of Zon1Og complIance and allows constructIon to commence. Before occupancy. a Certltlcate of Occupancy must be
Issued X....p ....v,'...S 5-.rf".ce /S "eo...,... M~.
b - ,2 7- 06' I-JR. >W-&t MU't ~h ~l.VV(1I J..id. ''tFY
Date . Special Conditions, if any T . ,
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
~ry - ~~glneelJmP
Pin - annlng
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
f2~) c Ie (~." VL-e (e
..j ~ :5 1- ~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: '
-3 liS?) 1hk1-~~/11 S/IL3ZJ!J c/~_l!.
Accepted
~
Accepted With Corrections
Denied
~-22'-Ok
Reviewed By:
/Vlrp
Date:
Comments: See Reverse Side for Additional Informr:!tionl .
Any (UI b UnfJ'1 By 5vl'ld~r ~/I/ ~ R~p~{cil l3y
~vilJt,
()~( Cc,vl,'o~
vnl()~ q,'
5/r(e,..1.
o~ W(Cf, (CIII'Jr ""~" T"'s~!I-('/ Lf>'tJ' e,,,~
k'SWiplttt" f- CJ^ ~I- I., qv",'.1 4""'1/1-0
See Attachments: 1 ) 'Grading Plan, 2) Erosion Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~hitf!! - Buildi"b
anary - I:nglneerlng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
70 c.le (-/V'ee--/c
6- 31- ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: '
.3 t/SO ~~ S/t~ d~
Accepted
Accepted With Corrections V--
Denied
Reviewed By:
Comments: 'If'.o ~ ~
~~
a.R-( ~. ~tI-... ~ ~.~~
"'~~~ CJA.IL ~~. ~ ~.
"'r · ~<."'" 117~ J .,........ Sid...::L L ...:. · ~a I - (!;.. .J
~ ~ ~' nc..:...... 4~.R..-;r-L ~. ~ Q-{f
J . . 'l_ (I +:.U ,..
~ ~. cJ..- ~"7/ V\..Ud ~~ t/1v ~d.
~I (j "d'
Date:
foil <{ /6<0
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White - Building
&jnarv - Engineering
"nk - Planning)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,~,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed~t:
, I
.~"".1
Accepted
x
Accepted With Corrections
Denied
Comments:
Reviewed By: ~ ~ Date: ;;-:27-0(;
/' ~oen/'~"...s ~y.f;ce arp, /s /It!..eA.y IY1<<xJWfftlllt
,
,/! II/~n4.rV'~"".f s".,.r4L'e IA..rl!44.'s ~v..Jr 1'Vt.:Cel.
cel-~rI;;dl!! e>-,c ftA-Y'vev ~t:e/ -;eEl! ('-:20- Ob H
/
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CITY OF PR I OR LAKE
CITY OF PRIOR LAKE
DEMOLITION PERMIT
9524474245
P.01
Date Rec'd
5. z,oro
~_.~-~.-
IAD~l.j50 rlA\r IcUA)l, Shores I" ro.."\ I
I PERMIT NO. tJ6-1q-=:1
I
SE
LEGAL DESClUPTION (otfla: use 0IIly) ,
LOT 8 BLOCK ADDmON F~/~.qr/N ..sHt)~
PIn 25: 03/. 003. I
O~ 0
(Name) QC~ \. 'ree-'K
(Address) ,to \ \ \
(Phone)q5~- '-tCJd - SI 00
~hoo~'~ia-3~9-d899
Un ofBuiIdmg:
~\>, Ii" ,[) ,
I,!!!.. c,
.
INTERNATIONAL BUILDING CODE
TyPeofC~r I n m IV V A B
Oec:u.pacy <houp: A B E F HIM R li U
Dm-ion: 1 2 3 4 5
rg"MPCA NOTD'ICAT:lON OF INTENT TO PEUOlWA DEMOUTION
I hereby cerd1Y That I have t\lmisbed infonnation on this applicatiOn which is to the be,rt of my knowledge true and comet. I aha certify that
I am the owner or authorized agent tor the above-mentioned property and that all consttucti011 will c:ontorm to all existing ltate and loca11awt
and will ptOCeccl in with submitted plaM. I am aware that the building official can revoke rhiI pennit for jun CB,me. Purthetmore,
I hereby agree rha . offi' or ~ maY' cnm upon the property to perform needed inspectiOIl3.
- -4<;)7-0<0
Date
This Application Becomes Your Demolition
Permit When Approved
~~~ ~j~G
This It ~ l2II1ity lhit tM RqUat ill IIIc IIbll'lll applic:lIlioa IIId ICCOIIIpanying documealJ is ID alIlOldllllQC witb III; City ZoDiDg OrdiDaDcc and may proceld as fU/"~
6'-8-06 L"~~
Dare SpclliaI CondiliDns. it any
24 hour noder tor all in.peeflollS (952) 447-9850, rAX (95:%) 447-4245
16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372
. [) D~
^~.
\\
t \l
"
White - Building
Canary - Engineering
c::Pink - Plan~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
x
.
Accepted With Corrections
Denied
~~
Date:
6" - 8- 06
Reviewed By:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
,
D
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
<:::White - Buil~
Canary - Engineering
Pink - Planning
NAME OF APPLICANT ?rJe... k. 0 A (} .-R.--/t ~
APPLICATION RECEIVED .s~ ~-O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
JJL/50 7~t -J.);~ (j/lJ2
Accepted With Corrections /'
Accepted
Denied
Reviewed By: ~ ~ Date: c;! ~ 10 l.o
Comments: ~ ti.LR. ~..." ~. 1'.., () j-rr- ~-<Ar'~'
~LJ- ~ ~r~'-:J tfj ~ o-IJ. ~~/
~ '1 l.J-~'~., /"~~~
io~~ ~ ~ ~~ ~ ;e.O.&J,
;U~ ~ ,.~ ~ .-+~ ~
~ -d-.'~ ~ ~ ~ ~. L.tJ.C. ~
~ ~ fa Ix ~ ~ ~.. ,~~ '7
. J~ILLAL/ (" ~
-~ ~ ~~~ ---~O-~ ';/,- ~~~ , ..;..t;;,
.A n...... _~~y J.J' Il ~ "?'- L..I /J '
~ ~~ ---r-"'~-----;J ~.,..,u. ~ ~ d-'.
/U.TU ~ ~ .; f'/2....Y: ~ 'ftJ fA. ~ ~ (J]
J, .
~ ~.". L'" tfu:6~_~ ~ f. J...~..,..e...t..':J ~.
"The issuance or granting of a perml or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~/1~b/L~~b lO:Lf
':JOLQ':JL::JlI::ll
r Il'1ALGRADE
PAGE 02
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1. Groen File I PERMIT NO "- m
2. Vollaw CllY .
3. ODld "'l>l>lj.~nl .
ZONING (office use)
\ SE
LEGAL DESCRlPTION (office u!c only)
LOT BLOCK
ADDITION
PID
OWNE~ Q . 41
(Name)' DcK ree~~ J1.c;\~y\er.s .,.l.[!)l)~Jd-erS (Phone)1Sd,4 '-OCf5~
(Address) 11.o8rl ~\~ Pn.J ~Sf 1l&r L.o.. ~ mn 5537:J.
(Address) (City) (Zip Code)
APPLICANT r. f/" ~
(Name) rl(\~ ~ riA de. J..-nc.
(Address) 344 JD \ I )~ Dr ;u-l.
(Address)
b
(Contact Person)
(Phone) qS'd.4Qa- S lex)
~ 0(' (\ CAi\ 5535 ~
(City) (Zip Code)
(Phone) lo I d -,,)'~/i - ~g<]9
DATE J b-o~
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service -L-- inches.
Location of any couplings from structure ~ feet.
Type of sewer pipe. 0 ABC !:8rPVC 0 Cast Iron
Estimated length of sewer line S S feet.
Clean out (if required) located at - feet from structure.
FEE SCHEDULE
Residential sewer and wateT line connection $35.50 rndustrial, Com'l & Multi-family 1 % ofjob cost with a $39.50 minimum
Sewer connection only $17,50 Water connection only $ I 7.50
(Office tJA.C Only)
This Application Becomes Your BuildinR Permit When Approved
Paid
'v1l
~cY6 ~rS
~~ ;,K/
~Q.J0' /
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Receipt No.
Building Offi~illl
Date
Date
24 bOlJr notiee for sail inspections (952) 447.9850, fu (952) 447-4.245
13:09
CITY OF PRIOR LAkE
9524474245 P.01/01
U3.Ie Ke(:' <1
CITY OF PRIOR LAKE PLUMBING PERMIT\
, '
I 81... Fi!'
; wid el!,
, I V,I"'''' ~ie....
[ PERi~nTNo'(p.5'7'1
l
ZONING (office u:.cl
I~". '"""
~ ~~ J.~.
I
Ax.. DESo:u:PTION (ot!\~ use only)
. I
i
B tOC~
ADDITION
PlD
L T
I
O\}'NER~
(Name). u~
! . \
(A ress) /"'11
I
~PLICANT ~
(N!ame) M~ . e~ :Da~i e~ N~ .
I . I (! _ I ... . )
(Address) J:t2.~ . t:U"rlHL.'5e.1 YVa..y
! ~ (Address)
I
I '
(Cr~act :person) ;T>nt) i p.l
Ap,PLICANT SI(!1NA TVRE
I
\
I
tf561.. ~If- (JCjg-
. (Phone)
~~l"?l.l atrt- .; MN
(City)
~I . 4~';. ..~:{()
~g
(Zip Code)
(Phone) ,.
DA. TE
Qu~mtity I Type o(Fb~ture Quan~ity Type of Fixture
I .~~ ~a[h Tub with or without shower Rough-ins
1
1 I' ~ishwasher I Water Heater
I I
i oJ liloor .Dni" I I Water Sofmer ,
I '1, I!..avatory (Baxbroom SinK) I Stand Pipe (WaShing M3.chinc)
I J:.. -Ilaunpty Tray (1 or 2 compartment sink Sewage Ejector.
I
I ,;u ~hower Stall Backflow Assembly
I ,
I I -~inks Backflow Assembly Test
, Bar Sink J~ Lavm Sprinkler: ....
I
1 5 Water Closet (Toilet) ~ Other (/~/il'f1n' 1- ..^-~ ....'-" '\
. ,
APPLICANT PLEASE COMPIJETE BELOW
1 l
I
! FEESCmDULE,
Jndusl1ml. Comm .rcial &. Multi.f;untly 1% ofjol> coSt with:L )39.50 minimum
I l
!
! Estimated Cost S BuiLding pennit l#-
I
I
I
(~ce \J!~ Only)
OChis ~pplic2ti~n Becomes Your Building permit When Approved
PLUMBING PERMIT FEE
I STATE SURCHARGE
TOTAL PERMIT FEE
si
$:
si
,
Rc!iden1ial. New One & jl'wo-F8mily S99.50
R!.Sidcntilli, Additions &. /AlterslionS S39's0
~~ ,g,~
, ~b~ ~~
99.Sb 1 ~G
.50; .~~
/4"'(}O~~' ~4f~
,"".~~~.-...__~,......-_~~"rr.__~---;-.._ _~ . ,
'\~!
1:\ !
'BuildIng Offici~l
DII~
24 hour llotiCle for all iaspec'tiOlls (952) 447-91t~~:~~~~~;.:~_ --:--t .,J
I
I
I
\
Tn'T'OI P 1:'11
TOTAL P.01
u ; ...j U 1I1
.\W;: ~:.'Jtj i- ':,J. b H ~.j.!.j;;.j ~
l,j j I ur rl\IUl\ Lon,j.L
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Re('l!
"
l. ,,",
~ 0.-
J. yellqw
,ile
DI,
"'H"OOI\'
ZONTI-JG ,01\;", we) I
~ oype or pM! 'I' 1 <i!lC &t bormm)
I ADDRESS
! G<;/SCJ .;:;'l/f'L~Lv)f../ Shd/C'S
I LEGAL DESCR>r10N (offict uu only)
I
I LOT BLOC: :
ADDITION
PID
-,
(Phone) Y'Sd- 9'y'7-09~
i OWNER /J. /)
I (NL'T.e!-1D2c.,-K C~ee/~ /yC?,;?1~5
I '
I (AcWresS) /~)7 Vi/JAb ~v~ ~. E~
~
(Phone) 5!9 - 'Y~b-QOc7
~R~V/&-- $S5s7
(Cl!y) (ZIp Co~)
(Phone) .5)(}~
DATE ?--g -to? 6
I '
; iCcntact Person)
I .
I .c.,PpLlCANT SI }NATURE
I
PLICANT PLEASE COMPLETE BELOW
i : ~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
i FL'R.'\JACE MAli ~ AND MODEL I?vyJ(/j~ SS-.:JI<)KJVOt::O/:JO FUEL /VI<1T
i FLUE SIZE B~/JfrC/ RETURN OPENINGS /;7 rNPUT /d~ "tJC) OUTPUT //~ ~~~ - '
TYPE OF sYSTEM HEA.TING OR PO\VER PLANT
~Warm Air Plants 0 StCi1T1 . ,j~
OrlVity ~ HOI Wa.t<< KMI,vJJftOc;,
~ Mcx:kwliCllI 8 Ra..dWion o/",€Ie ",,~$;;/~A./
Air CoodJtionin~ SpeciLl Devices
Vent Syltem Other Devices
PLE....SE NOH:
Air CondltlOne-r Units
Ca.nnoc EDCro&C~ into
Required Side Yard
Setbacks
J
I FIREPLACE M,' K.E AND MODEL
FEE SCHEDULE
IDC.ill':ll, Comml ciLl &. Multi-Family 1% of job oost RuldentlrJ, Oi.3 Fircpla.ce
539.50 minimum
Rtlidenllal, Helot:' ~ & NC (New ConS(Nctlon) S99.S0 Re$idential, Additiol'la ci AlteratiollJ
Ked~tl'/, Heall g Only (New COQstr\Jcllon) $64.50 ResldtntlaJ, AC Only
SJ 9 50
S 3 950
SJ 9 50
EJtimBt.ed Cost S
Buildln~ Permil #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
S
. 5 PAID WITH
. ~UILDING PERMIT
(Omef Uu Only)
Thll AppUCII' ;OD &com~ Your BuUdlni Permit When Approved
I:P1NO
Build i' ,ONlcl&1
Date
~p~
Date
24 hour Dotict for all iuptCtiOfll (9~2) 447.9830, (u (952) 447....2-45
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted willi Building Pennit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
.Property Address . 54~o fiil/ZVJWA/ S)i1)t'E:) ~i s-: ~
Lot Area /6t5'~s (p 9tJ4;tJ tJ.!/.Rl.C) sq. ft. x 30% = .............. 4966, .tJ
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
ATTACHED GARAGE
x
x
DETACHED BUILDINGS
(Garage/Shed)
TOTAL PRINCIPAL STRUCTURE...................... 5'&90
(lHCtV.Qf5 ,Ptl~
x.
x
TOTAL DETACCHED BUll..DINGS....................... 1/1)
i:::~
x
.x
=
(Sidewalk/Parking Areas)
x
=
-'
TO'T AL PAVED ~A.S...................................~.....
jo7f
ORCHESfDECKS
x
en Decks W' min. opening between
boards, with a pervious surface beloV(,
are not considered to be impervious)
- V/olOUl- POf/...C1I
x
=
x
=
TOTAL DECKS........................................................ }J fI
OTHER
x
X
=
T O.T AL OTHER............................. .......................... tJ Pi
TOTAL IMPERVIOUS SURFACE
QJNDiiJDVER
Prepared By ~ ~
CompanybL 4--:"'7 d ~.
r .\J....lA Nnnr ITC'u).lfncD...:....... ~.......
I 4964-
.1 Z,.5
Date )-5/-,~t
Phone # rI1>1.) cj~2 --? (/t/tJ
PRIOR LAKE
INSPECTION RECORD
~
. L.I.
DE,PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. Q(p. 0.::279- DATE ISSUED
CONTRACTOR-'~ ttlllllt ~ PH N ~ T
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING 11/}/ I jr(p.u&
I FOUNDATION (Prior to Backfill) I 'M I ...../-(y u..
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE B
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Il-ATN F IIIl1r,/AJIl,A/fI I Vv/~ /O'/1<J, ~I/l 11#S#l-L
· FINALS I
(Wr()Cp
. L{-
. -~/~
- VIJ11,1
GRADING (Prior to Sodding)
BUlL-DING -t 1M 1\ ""1./-111
ELECTRICAL
PLUMBING
HEATING
DO NOT
7,-IL-v-J
J.47
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850